The Art of the Question

We had a psychiatrist come in to conduct an evaluation on a child who had severe panic attacks. The child couldn't finish the school day, because he would have these fits and try to leave the building. Well this psychiatrist came and interviewed the relevant staff, the parents, and the child in a matter of a couple of hours. He debriefed the us after he had met with the parents and laid it all for us. It was pretty amazing how he was able to sum it this kid's whole life experience in a matter of 2 hours. I was really impressed. It made me realize how it's all about the questions you ask, and how you ask them. He was able to get the information he needed to develop his hypothesis on what was going on with this kid. He didn't use any fancy instruments, tests, surveys, etc. He asked some questions, then some great follow-up questions and was able to formulate a theory. It really opened my eyes to the effectiveness of the clinical interview. I guess that the main difference is that because he has an MD at the end of his name, people take his diagnoses seriously. I could say the same thing he said, and I could be challenged on it in court. All this means that while psychiatrists can make definitive statements about what is wrong with a child, I have to speak in terms that reflect vagueness and uncertainty. "It appears that..." "It is possible that..." "It seems as if..."

Turns out there was a lot going on at home; much more than what we were aware of. There will need to be some significant changes within the family in order for this child to meet success. We're keeping our fingers crossed.

BBC